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    Category >> Parenting

    Today I attended a panel discussion on the Pertussis vaccine, hosted by Southern Oregon Birth Connections. The panel consisted of Bonnie Nedrow, a naturopath, here in Ashland, Jeff Houghton, another naturopath, Jim Shames, the director of Public Health, and Michael Framson from the National Vaccine Information Center.

    Pertussis,(also known as whooping cough) is a childhood illness that lasts about 6 weeks, but the cough can go on for months. It's caused by a bacteria, Bordetalla Pertussis, which kills the protective cilia in the lungs with a toxin. This part of the illness happens while the person has symptoms of a mild cold, in the first week or two. By the time the intense sporadic coughing fits happen, the damage has already been done. The most contagious part is during that initial "catarrhal phase," which is indistinguishable from a common cold.  Although it is considered a childhood disease, people of all ages can get sick with it. The real danger is when babies under the age of six months get pertussis. Their immune systems have no way of fighting it off, and there is a chance that they can die from lack of oxygen or bleeding in the brain from coughing so hard.

    The issue around whether to vaccinate or not is a bit tricky, though. It seems that the vaccine does not give life long immunity, and neither does getting the disease. This means that immunity starts to wear off in middle school aged kids who have not been vaccinated since they were two. Often, these cases go totally undiagnosed, because in an older child, or adults, pertussis may never sound like "whooping cough," and may just seem like a cold, turned into a nagging cough that lasts a few weeks. Many cases have also been documented of people who get sick but are completely up to date with their vaccines, so it does not always work.  Doctors don't necessarily think of pertussis as a diagnosis for a regular sounding cough in a grown up, and most likely won't even be consulted, but those adults can infect infants, who are at great risk.

    Since the vaccine was introduced in the early 1900's, pertussis is much less of a problem than it was, so although the vaccine is imperfect, it has been helpful. The problem is that many of us are realizing that we are bombarded by toxicity in our environments, and giving our children the 48! recommended shots before the age of two can be harmful to neurological development, as well as supressing the natural development of T-Helper 1 cells that constitute a healthy immune system. The rates of asthma and other environmental allergies is skyrocketing. Parents have a tough decision to make with this one, as with other vaccines. Pertussis outbreaks happen, especially in my community in Ashland, OR, where many kids are not vaccinated. Babies get sick, and some die.  Last year, 11 died in California. Its not just unvaccinated kids passing it around. 

    I am still on the fence about this vaccine.  It seems that there are some positive results, but the vaccine is not reliable.  It is always given with tetanus and diptheria, because it won't work on its own, and the amount of boosters required to maintain immunity is undetermined.  It sounds like a lot of toxic stuff for unreliable protection from the illness.  I did leave with some simple helpful ideas today.  The first is something that Bonnie Nedrow said.  Babies under 6 months don't have an immune response, yet the vaccinations begin at two months because parents are more reliable about bringing their kids in for regular doctor visits when they are infants. She recommends waiting until 16 months to vaccinate,  if you decide to do so.  At this age, the vaccination will be more effective, and possibly give more lasting results.  The immune system is also given a chance to develop on its own for a while without being bombarded by excess toxicity.  The second thing is that we do have a responsibility to each other, so if we choose not to vaccinate, we should take extra precautions not to spread illness around.   Its okay to stay home from work, or keep your kids home from school if they are sick.   If you have a baby, don't spend time with people who are coughing. 


         Before having my second child, I thought the "reward system" of sticker charts and tokens was basically bribery, and I believed that my children would learn to behave just for the sake of the natural consequences for good behavior.   I have found the time and place for a sticker chart, though.   My second child has been an incredible challenge for all of us, and I've had to reexamine what is really the best thing for her. She needs clear consequences, positive and negative. She needs frequent recognition of whatever she is doing, and positive feedback works great. So do clear rewards.

         We started our sticker chart when she just refused to take responsibility for using the toilet. She wasn't having "accidents," she was just peeing in her pants, rather than interrupting whatever important thing she was doing. She really did not care. This was happening well into four years old. We had all kinds of joy and praise when she went on her own, but usually it became a constant battle. She had to go, I could see it, she refused, then peed her pants.  I got upset, but didn't know what to do. I didn't want to shame her repeatedly, for fear of lifetime scarring. I didn't want to put her in diapers, but I couldn't have her peeing in her pants all the time. We started giving her a sticker every time she went, and on the chart, there was a small reward every few stickers. Yes, we used a treat, and sometime one of the ingredients was sugar. We also had a tea party, a movie, an outing with mom, and various other rewards on her chart. It worked. So well that Jayden, her big brother, felt left out. He wanted a chart too. So, we made him one, and he got stickers for being kind to his sister. He had some very sneaky aggressive behavior going on toward her at the time. This ended up being really helpful too.

         Through the use of the sticker chart, my daughter had the incentive to use the potty, and within a couple weeks, it was automatic to go there. She found out that it wasn't so bad, and in fact it saved her from the interruption of upset mommy dragging her inside to change her clothes again. An unforseen outcome was that Jayden experienced the benefits of reading to his sister, playing games with her, giving in when she was not giving up her side of the battle..... He found out that it makes life better to get along better with his sis, and so he received the "bribe" but also the real life reward.

         As for transitioning out of the chart, we starting using a token system. I read it in a book, "Transforming the Difficult Child," which I wrote a blog about some months back (in the parenting section as well.)   I thought it was not a good idea, for the same reason as the sticker chart. I thought they should behave for the sake of behaving, for real rewards that come from real life, but life got rough and we tried it. Anjali got "stones" in her jar for listening the first time she was asked to do something. We made a chart that showed how many stones she needed to go out and play or go swimming, or have dessert, or have bedtime stories. I know that sounds extreme, but her behavior at the time was such that, "NO!" followed by an emotionally charged power struggle was often the response to brushing teeth, putting on pajamas, going potty, or getting into bed, so by the time it was done, nobody felt like reading to her, especially if she would protest and climb out of bed as soon as stories were over. She got a stone for brushing teeth, she used it for stories. She got one for not getting out of bed. She could use them in the morning to go out and play with her friends. It started to come together. What she got stones for shifted over time, and of course Jayden wanted in on it too, so we added him to the plan.

         They used their stones throughout the day, and earned them throughout the day. I think Anjali, especially has learned a lot about cause and effect. I could say that it is bribery to ask my child to pick up her toys, put on her shoes, and go to the bathroom before we leave, and REWARD her for these things by letting her use the stones she earned to go out and play with her friends, OR I could just tell her she has to do those things or she CAN'T go out and play. It's the same, right? Well the stones seem to empower her to make what she wants to happen, happen, one small task at a time. When she is having a hard day, I make it easier for her to earn her tokens, so that she feels successful. Guess what? It has really worked!

          Lately my kids have been saying (when they want a treat usually) that they don't want to use the tokens anymore, so I've been talking with them a lot about the connections they make, the currency. If they just do what I ask of them, when I ask them to help me or help themselves, then there are natural positive consequences: if the teeth get brushed now, there is time for more stories. If mama doesn't have to argue with you about staying seated and keeping your greasy hands off the couch during dinner, she might be in the mood for dessert afterwards..... Jayden gets it, and Anjali is really starting to. She is five now, and so much more pleasant and reasonable these days. My experience has been that its like a game to them, and through the game they learn about action/reaction, real life consequences, and their power to create what they want in the world for themselves. They get that its a game, and we talk about it.

          The kicker is that we all are still playing this game. I do something for you, you give me money, and I can use that money to do something for myself. Its currency. Its how our culture works. I don't mind teaching my children about it in this way. It has really helped to bring peace into my home.


     

    “ Why didn’t I know about this?” 

    I’ve probably heard this question at each Fertility Awareness class I’ve taught over the last seven years. 

    “Why don’t they teach this in school?” 

    There is sometimes a hint of sadness in their voice, sometimes resentment or anger.  I’ve witnessed this humble moment of reckoning so many times.  Luckily, it is often followed by a deep inhalation of empowerment as the class continues and the information settles in to its’ rightful place, the body of the woman.  This is one of the many, many reasons I love to teach women (and their partners) about Fertility Awareness.... because a woman has the right to know about her fertility.... to know that she has all the tools within her to monitor her cycle; to know when she is fertile, when she is not, and to use this wisdom to choose when and if she would like to conceive a child.  Why DIDN’T we learn this in school?   

     

    Women hear about FAM and often associate it with the rhythm method or Catholic based methods of Natural Family Planning.  Perhaps they have heard stories of a mother with 7 children who “used NFP”... or they are happy with their current form of birth control and don’t really give the class a second thought.  But FAM isn’t anything like the rhythm method, and it certainly is not only about birth control.  (Though recent studies find FAM to be equally effective to the birth control pill, with a 99.6% effectiveness rating!)  It is about making a choice to be conscious and a choice to find power in being a fertile woman in a body designed to reproduce. 

     

    In the Fertility Awareness Method a woman learns what hormones are the main players in the dance of fertility she experiences each cycle during her reproductive years.  She learns how these hormones have dozens of health promoting actions and are intricately woven into many other systems of the body.  With a basic lesson on reproductive anatomy a woman can then be instructed on how to observe and chart the ways in which these hormones present and express themselves in her body.... such as how estrogens are cell producers and make your skin and hair shine, or how they increase the wetness you feel in your genitals when they are at their height.... Or how progesterone warms up your body and increases your metabolism... which explains how hungry women can get before their period... or why seeing their temperature rise (and stay high) is confirmation of ovulation.  With FAM a woman can discover if her irregular cycles are a variation of normal or if her hormones could serve to have some support in becoming more balanced... She can perhaps even learn if other discomforts might be easily resolved with similar hormonal support (and at my class she’ll even learn how diet and lifestyle changes can do this!).  She can learn why she is not getting pregnant though she’s been trying for months... or she can learn how to not get pregnant by following simple rules of the method.

     

    With this education, a woman is gifting herself with a deep personal intimacy and the empowering discovery of her own personal ebb and flow.  Perhaps this is all she will use the method for, or maybe she will choose to use FAM to avoid pregnancy or to conceive consciously when she is ready.... 

     

    I am a firm believer that each and every young woman should be given this information when they begin to cycle during puberty.  It is my goal to help make this happen.  Until this time comes, I will do my best to help educate women, one by one, of the brilliant, ancient and proven practice that has changed my life, my sexuality, my health and my relationship to my body for good.  I LOVE FAM!

     

    Please check out the following links for more information!

     

    ~For statistics on this method, showing an effectiveness rating of over 99%, check out:    

       (Note that both are slight variations from what I teach.) http://humrep.oxfordjournals.org/cgi/content/abstract/dem003v1 (sympto-thermal) -http://www.woomb.org/omrrca/bulletin/vol27/no4/chinaEvaluation.html (BOMA)

       

    ~For a recent article published on the FAM in an online publication: http://www.doublex.com/section/health-science/your-grandmother%E2%80%99s-birth-control-might-actually-work?page=3,1

     

    ~For a great and very informative website from my colleague Mikhal in Israel:

    http://www.poriutivit.com/page.asp?p=10

     

    ~To see my website: http://www.graceofthemoon.com (check again in a month to see the

      new and improved site!)

     

     

     

    Sarah Bly is a certified Fertility Awareness Educator who lives outside of Ashland, Oregon.  She is trained as a midwife but finds her passion in FAM.  She offers workshops up and down the west coast (and sometimes elsewhere) and she does private consultations for pre-conception and fertility optimization.  You can find her at 541-821-2522 or sarah@graceofthemoon.com .  Her next FAM workshop in the Ashland area begins on November 2nd, 2009.

     

    We are here to love.  We are made to reproduce.  Why not do it with conscience?

      


          I sometimes find it quite impossible, as the parent of two young children to have an adult conversation.  It's not that people aren't around or available to speak to.  I live in a cohousing community and am surrounded by friends.  It's just that as soon as I answer the phone or get interested in a conversation with a friend on my couch, my children "need" my attention.  Perhaps it's because they can't stand to share me, or maybe I seem much more interesting when someone else is talking to me, like the toy that someone else is playing with.  I have, on occasion, been followed from room to room and eventually had to lock myself in my bedroom to get away from my five year old, so I can have a rare phone conversation with my best friend on the other side of the country.  It's not always quiet on the other side of the door, either.  This is a moment when I find it difficult to remain patient and enforce the "no interrupting" rule.  I don't want to be continually distracted, but I also don't want to make a scene in front of my friend, which could happen if I choose to ignore my five year old and she proceeds to jump on me and shout my name to get my attention. 

           I came across a couple of helpful tips from Elizabeth Pantley's  book "The No-Cry Discipline Solution" on her website http://www.pantley.com/elizabeth/books/index.html.  I especially like "The Squeeze" for my very tactile and impatient little girl......

    "Teach “The Squeeze”
    Tell your child that if she wants something when you are talking to another adult, she should gently squeeze your arm. You will then squeeze her hand to indicate that you know she is there and will be with her in a minute. At first, respond quickly so your child can see the success of this method. Over time you can wait longer, just give a gentle squeeze every few minutes to remind your child that you remember the request.
     

    Create a busy-box
    Put together a box of activities or games that can only be used when you are on the telephone, working at your desk, or talking with an adult. Occasionally refill it with new things or rotate the contents. Be firm about putting them away when you are done. Your child will be look forward to your next conversation, which will be interruption free!"
     


     

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